Bolivar Physician Practices LLC
NPI #1205489689 in Rosedale, Mississippi
Provider Information
- NPI Number
- 1205489689
- Entity Type
- Organization
- Organization Name
- Bolivar Physician Practices LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 24, 2019
- Last Updated
- Jul 24, 2019
Practice Location
- Address
- 512 LEVEE ST
- City
- Rosedale
- State
- Mississippi
- ZIP Code
- 38769-5507
- Phone
- (662) 759-6806
Authorized Official
- Name
- KATHY TEAGUE
- Title
- SECRETARY
- Phone
- (615) 920-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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